Adolescents and young adults (AYAs) aged 15-39 are experiencing a rise in cancer incidences, potentially leading to the next global epidemic. Despite high survival rates, AYA cancer survivors face long-term health effects. Nanomedicine, particularly nano-therapeutics and diagnostic tools, offers hope through immunomodulation, targeting cancer cells, the tumor microenvironment, and the immune system, enhancing drug delivery and diagnostics. Multi-omics strategies and nanoinformatics are advancing cancer immunotherapy, with a focus on personalized treatment.
The increasing trend and survival rates of AYA cancers impact the most in South and East Asia, bearing the highest national medical burden. Early-onset cancers show positive results to immunotherapy making it a trending option in cancer management. However, individual treatment outcomes vary, and there is a need for combined immunotherapies to optimize results. The development of interdisciplinary experts is crucial for analyzing multi-modal data, with a focus on data privacy and security.
Tumour immunomics is set to dominate future cancer treatments, with big data playing a key role in understanding immune-related adverse events (irAEs) and accelerating research. This will improve clinical management of AYA patients on immunotherapy, leading to better outcomes and a new era of personalized nanomedicine. The empowerment of tumour immunomics is essential for translating nanotherapeutic discoveries into practical applications, leading to promising transformative results for cancer treatment.
Yet, the translation journey is hindered by the many stages of development across different methodologies. Also, the widening chasm between our ability to generate vast amounts of data and our capacity to process it set limitations to clinical applications. Scalability and cost-effectiveness must be considered from experimental stages to smoothen trial designs and recruitment outcomes.